Short-term Outcomes of Esophageal Bypass Surgery for Patients with Unresectable Esophageal Cancer

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  • Kanamori Jun
    Department of Esophageal Surgery, The Cancer Institute Hospital of Japanese Foundation for Cancer Research
  • Watanabe Masayuki
    Department of Esophageal Surgery, The Cancer Institute Hospital of Japanese Foundation for Cancer Research
  • Maruyama Suguru
    Department of Esophageal Surgery, The Cancer Institute Hospital of Japanese Foundation for Cancer Research
  • Kanie Yasukazu
    Department of Esophageal Surgery, The Cancer Institute Hospital of Japanese Foundation for Cancer Research
  • Fujiwara Daisuke
    Department of Esophageal Surgery, The Cancer Institute Hospital of Japanese Foundation for Cancer Research
  • Sakamoto Kei
    Department of Esophageal Surgery, The Cancer Institute Hospital of Japanese Foundation for Cancer Research
  • Okamura Akihiko
    Department of Esophageal Surgery, The Cancer Institute Hospital of Japanese Foundation for Cancer Research
  • Imamura Yu
    Department of Esophageal Surgery, The Cancer Institute Hospital of Japanese Foundation for Cancer Research

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Other Title
  • 切除不能食道扁平上皮癌に対する食道バイパス術20例の治療成績
  • セツジョ フノウ ショクドウ ヘンペイ ジョウヒ ガン ニ タイスル ショクドウ バイパスジュツ 20レイ ノ チリョウ セイセキ

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Abstract

<p>Unresectable esophageal cancer is often associated with stenosis and fistula formation, leading to quality of life deterioration. Recently, minimally invasive stent placement is often selected for such cases, and opportunities to perform bypass surgery have been decreasing. Among 20 patients who underwent bypass surgery in our institute, the median length of hospital stay was 19 days (12–62), and no hospital death was observed. Postoperative pneumonia was associated with preoperative fistula formation and a prognostic nutritional index (PNI) below 40 (p=0.07). Two of the three cases with anastomotic insufficiency had a low modified Glasgow prognostic score (mGPS) of 2 (p=0.06). Careful perioperative management is required in cases with preoperative fistula or cases with a PNI value under 40.</p>

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